Blog

Reducing Lower Back Pain May Be as Simple as Looking Down

Aside from the common cold, lower back pain is the 2nd most common reason American’s miss time from work. Its been estimated that more than 80% of people suffer from occasional to frequent lower back pain. It is often easy to identify where pain is located because we feel it…but it can be more difficult to determine the true cause of the problem in order to effectively alleviate the problem.

As chiropractic physicians, our expertise in assisting patients overcome spinal pain (by helping the body’s immune system function optimally) is only a portion of our effort. We must also think “outside the box” as to what might be causing this patient to feel a certain way?

At Queen City Chiropractic & Sports Performance, this process begins with a thorough patient history session. Learning as much information and detail from the patient as possible will provide an easier approach for the most appropriate treatment plan to address the complaint.

Occasionally, it’s trauma such as lifting a heavy object or a motor vehicle accident but more often pain arises from subtle repetitive microtraumas over time until the body can no longer compensate and a problem is detected via pain or stiffness. These issues that arise over time are often more difficult to rehabilitate or treat effectively because the problem and the complaint may be located in two different areas.

It Can Be as Simple as Looking Down

Posture is important for an optimally functioning spine because the spine supports the body much like a frame supports a building or structure. What supports the spine?

A series of muscles and ligaments provide strength and stability to the spine but so too does a stable base including the feet. The feet are the foundation of the body, they provide a connection to the surface we stand upon or move against. Feet also absorb excessive stress.

According to the book Chiropractic Management of Sports and Recreational Injuries, nearly every person’s feet function normally as an infant but up to 70-80% of people have mechanical faults associated with their feet by age 20.By the age of 40, most people have developed an injury or compensated gait due to a lack of ideal foot and or ankle function.

Won’t the pain let me know that something is wrong?

Lower extremity dysfunction doesn’t always coincide with pain, in fact the body is very adaptable especially when dealing with pain.

One adage suggests pain is often the last signal perceived at the brain to indicate a problem.Have you ever kicked a chair bare foot? You know it will hurt, but it takes a few seconds to feel the extent of pain because pain is slow to arrive. Another example, something as deadly as cancer has often very little pain until the disease is well-established.

So we can’t use pain as our only method to determine a problem exists within our body and treatment is necessary.

The Body’s Kinetic Chain

Back to the feet and how the feet could contribute to spinal pain. This theory is known as the Kinetic Chain which was first described in 1875 when engineers were developing moveable machines during the industrial revolution. This theory was refined later and applied to the study of human movement.

Essentially the kinetic chain states that a series of movements can be linked together to create an overall action.One bone or joint’s motion can aid or enhance an adjacent bone or joints’ movement for ideal function. The converse also can be true in that a lack of adequate movement or strength in one location will force compensation to occur at an adjacent bone or joint hindering or altering efficiency or quality of movement.

Therefore many problems begin in the feet and if not identified or treated, can lead to problems higher up the kinetic chain. This often presents itself in the hips or back as pain or limited movement.

Often over time due to poor footwear or obesity, the medial arch of the foot begins to collapse.This is the area along the instep of the foot between the base of the great toe and the heel bone.

Stress applied over time weakens the supportive tissue of the foot resulting in reduced elasticity of the medial arch.This process generates compensation of the foot when the arch flattens.

Once the arch drops, due to the arch’s connection with the ankle and leg, the knee must rotate inward.This alteration influences the femur and the hip becomes forced to turn also which translates into compensation of the lower back.

SO… back pain could eventually occur and although the patient reports pain of the lumbar spine, they could have no perception of pain along the medial foot where the problem began.

Assessment of the Feet Is Critical

We must check the feet with all non-traumatic (and traumatic) lower back pain patients before treatment is initiated. Footlevelers, a company that researches foot biomechanics and develops orthotics, recommends all doctors attempt to allow the patient with spinal pain to understand the foot-spine connection to optimize health and alleviate complaints.

When compensation occurs within the body, abnormal stress tends to accumulate with or without feeling pain. Chiropractors are specialists in spinal manipulation however most are also well-educated in addressing joint dysfunction of the extremities, especially the feet.

Lower back pain patients should expect to have their feet and other weight-bearing joints evaluated and often adjusted in a similar fashion.

Addressing joint restrictions in the feet can often provide an immediate reduction in lower extremity soreness and restore a bounce to one’s step with walking. Those who exercise more or spend excessive time on their feet often require the doctor to pay more attention to the feet for ideal outcomes. Overuse conditions such as Plantarfascitis can also be eliminated if the feet are checked and joint compensation reduced to allow the soft tissue inflammation to cease.

Doesn’t the Podiatrist deal with foot issues?

People often think of Podiatrists for foot pain, as we should. Those professionals specialize in foot and ankle disorders but they should not be considered the only option for foot and ankle care.

Chiropractic physicians can treat the foot in a variety of methods without the use of medications or surgery. Occasionally advanced treatments are necessary to seek Podiatric help but for common, non-traumatic complaints conservative management in one of the most recommended and successful options to consider as a form of functional rehab.

Functional orthotics or shoe inserts are often something that is recommended to improve foot and ankle biomechanics in an effort to alleviate lower back or extremity pain. Podiatrists have prescribed orthotics for years to improve the kinetic chain however the chiropractic approach focuses more on the body’s natural ability to heal without medicine.

Podiatrists often recommend a rigid or hard plastic orthotic for their patient to support the fallen arch. This would make sense when the arch has weakened and might need more structured support, however rigid orthotics are often uncomfortable and difficult to wear while exercising.

Benefits of Semi-Rigid Orthotics

Humans are dynamic and move often, why would we want to wear something to limit our movement if we aren’t dealing with a fracture or dislocation? Clinical studies have shown we wouldn’t want a rigid orthotic that would provide support but limit our foot’s natural mobility to act like a shock-absorber. Just like we wouldn’t prefer a soft or stretchable rubber orthotic you might find at a pharmacy that offers only subtle reinforcement with little support but greater comfort.

The best option is a semi-rigid functional orthotic designed specifically for the person who wears it. Patients at Queen City Chiropractic & Sports Performance have the option for having a laser scan analysis of their feet. A computer creates a three-dimensional image of the foot while evaluating the patient’s stance to provide the necessary measurements to design a one-of-a kind semi-rigid orthotic created just for that person.

Semi-rigid orthotics provide the stability to support the arch when standing for long periods of time to prevent the foot from pronating (flattening) which contributes to medial knee rotation and stress applied to the lower back. The semi-rigid design also provides dynamic support when we move to allow for proper weight distribution throughout the foot without excessive stress being applied to the bones and joints of the foot that could lead to dysfunctional movement patterns.

Improving the alignment of the feet with functional orthotics during both stationary and dynamic positions will aid in distributing force appropriately while promoting postural modification with enhanced movement patterns obtained through chiropractic care. Essentially the body is supported better so customary positioning and movement is accomplished more efficiently.

According to the Journal of Manipulative and Physiological Therapeutics, spinal subluxation correction and pelvic positioning will improve with the use of functional orthotics over time.Some studies even suggest degenerative or arthritic changes can be lessened with the use of functional orthotics due to the body’s improved functional positioning to absorb physical stress easier and more naturally. Patients tend to “hold” or maintain their adjustments better with the consistent use of functional orthotics.

We have a plan at Queen City Chiropractic & Sports Performance

Functional orthotics and joint mobilization are often combined with therapeutic exercise for an effective chiropractic treatment plan. Back pain is often what motivates a patient to seek chiropractic care however the treatment and the problem may be complicated and involve addressing multiple areas of the body for best results.

Ask questions and be honest with your doctor regarding what you feel and what you believe contributes to your problem. The more detailed information that is provided from the patient, the easier the treatment plan can be developed for best results from the doctor. Often these treatments require time, repetition and patience before beneficial results can be noticed. In my opinion problems that are most difficult to overcome often provide the best rewards.

We should always consider our feet as a potential contributing factor for helping alleviate discomfort with joint pain or stiffness. Taking the time to evaluate your feet and lower extremity biomechanics might just provide the missing piece to the puzzle that can get you back to moving at your best while leaving pain in the dust!

Reviews

SUCH nice people! Dr. Chad and his wife are awesome. I called without an appointment in severe pain this morning and they were the only ones that got me in right before closing on a Friday. I could barely walk going in and I feel So so much better already. Very sweet yet professional people. I used to see Dr. Chad at the Keith clinic but I love his new location and he's even closer to me, highly recommend them!

I love this facility. I've been a patient of Dr. Chad for 9 years and no matter what he always has a solution to my issues. The new flexion table that they have does wonders for stretching before treatment also. Queen City Chiropractic is the next best thing to being treated at home and they even helped my wife's sciatica during her pregnancy. The prices are great also especially for the wellness program.

Dr. Chad Robertson is a fantastic Chiropractor. I did not have what I would consider a traditional chiropractor issue with back or neck pain, but I was willing to try anything. I recently started running and developed a severe case of planters fasciitis in my foot and it got to the point that I could barely walk or get out of bed. Not only am I back to running every week, but I feel like a whole new person. I have followed his instructions and recommended visits and that issue is a thing of the past. Not only has he helped me with my planters fasciitis, but I also pulled a quad working out and he is helping me with that issue as well. They are very reasonable and very knowledgeable. I would highly recommend this practice.

Chad Robertson and Ashley Schatzman have a terrific practice and provide a wonderful service. I experienced back pain for months. I was on vacation and was able to get an appointment. After just one treatment, my back felt better than it had in months. 3 months later, it still feels great. I am able to excercise and work around the house pain free. I highly recommend Chad and Ashley.

Dr. Ashley helped my boyfriend recover after a painful accident. They have a friendly staff and provide great services. If you've been hurt or just have an old injury that needs to be addressed. I recommend Queen City Chiropractic!

I have incorporated chiropractic care into my wellness goals for 25 years. After having tried various clinics upon moving to the Charlotte area I find Drs. Ashley and Chad are the best! I recently experienced the benefits of Chiro. care during my 2nd pregnancy and it was a huge benefit to not only keeping my body in tip top shape during the pregnancy but also I believe played a big part in having a successfully short and easy birth experience. I did not incorporate chiro. care with my 1st pregnancy and I can see what a difference this made for the second go around. Many women do not even realize that they can safely enjoy the benefits of chiro. care during their pregnancies and are missing out on a wonderful way to keep their bodies aligned and in great condition before, during, and after birth. For those wondering if chiro care could be of value to their pregnancies, I hope my review helps! I know I am definitely adding this to my pregnancy routine the next go around!

Dr. Robertson and Dr. Schatzman along with the entire staff at Queen City Chiropractic are second to none in terms of knowledge, facilities and equipment, technology, bedside manners, and chiropractic therapies. I have been to several chiropractic practices in the Charlotte area in desperate need of quality therapeutic services and Queen City Chiro has been the only practice to deliver the relief I've needed. Highly recommended, you will be very happy you went!

Being an athlete all of my life, I have had the pleasure to be in the presence of great Chiropractic Doctors. Dr. Chad at Queen City Chiropractic & Sport is one of the best Chiropractors I have had. Even though this was an unfortunate, non-athletic injury he has exceeded my expectations of recovery. I continue to battle, but with the knowledge of various techniques and treatment, I am positive that I will be myself soon.
Dr. Ashley has always been helpful and has treated me once or twice when I had an emergency or when Dr. Chad was out. She has her own techniques and touches that made me feel comfortable and she listened to all of my needs an concerns that day.
I cannot leave a 5 star review without speaking on the exceptional service from Crissy and her attentiveness as lead assistant and the welcoming energy she provides at the front desk. This is truly a well balanced and caring practice.

The entire staff and Doctor's are very friendly and passionate about what they do. They are more than professional, clean and actually care about YOU getting better and seeing results!!! I have never been to a chiropractor until now. They are helping me recover from some injuries I have sustained in a recent car accident, and they truely make the whole process so easy and comforting. Dr. Chad explains everything in a manner that is very easy to comprehend and if you have any question's he is straight forward with answer's. Today was only my 2nd treatment and I look forward to my continued physical therapy with Queen City Chiropractic!!! Deff would recommend to anybody in need to see a chiropractor????????????????????

Dr. Ashley is fantastic! I moved to Charlotte a year ago and was really nervous about having to find a new chiropractor but read some great reviews about QC and decided to give it a try. From the minute I got there I was greeted warmly and treated like a person, not just another patient. Dr. Ashley took the time to talk to me and make me feel comfortable while also getting to the root of my pain. She went thru my treatment plan with me step by step to make sure I knew what was happening and I started seeing results after my first visit. I’d recommend QC chiropractic to anyone!!

Dr. Chad and Dr. Ashley at Queen City Chiropractic are the best in the business. Chrissy is always there to welcome you with a smile, and the doctors are quick and attentive, and truly take time for you, unlike many other places. I wouldn’t go anywhere else!

I had gone through a tough accident and Ashley helped me get through major, uneasy pain. I was very please with the outcome of my health. She was always very attentive to my body pain and so easy to talk with about my body issues. I GREATLY appreciate this Queen city Chirpractor for being sympathetic to my needs and getting me through a tough time.

Dr. Ashley and Dr. Chad are amazing. Very personable, caring, professional individuals! They listen to all of my questions and respond with easy to understand feedback. Their care has allowed me to swing the golf club freely and be active, each and every day (free of stiffness). I would highly recommend visiting Dr. Ashley and Dr. Chad! You will NOT be disappointed!

Dr. Chad has been taking care of me for years. I just recently visited him at his new location. I have had lower back pain for years and just had another setback. After two adjustments I was able to walk upright with a lot less pain. I would highly recommend Dr. Chad and his wife Dr. Ashley. Keep up the great work. Thanks for all you do for me.

Being a patient on any level is one of the most vaulnerbale positions you may ever find yourself in. Couple the fear of permanent damaged with crumpling pain and you have a perfect disaster. Dr. Chad, Chrissy, and Dr. Ashley made the awful experience of being in an accident the best patient care experience I have ever had. They were attentive to my needs. Each visit Dr.chad made me feel like I was his only patient, even though I know I wasn’t, he never rushed my treatment and he took time out to explain everything I was going through and exactly what I needed to do to feel better. Chrissy, the chiropractic assistant, is great. She’s always upbeat and she checked on me frequently during each treatment to make sure I was ok. And if nothing else brings you there, the convience of it all should. They made it easy for me to come in whenever I could. They worked around my school and work schedule. It was the best treatment I could ask for. I went in barely being able to walk and I’m right back to working out. Of course each medical experience is different but if there’s someone competing they are the team to beat. No one ever plans an accident or an injury but if you need it THEY ARE HANDS DOWN THE PLACE TO GO. Do yourself a favor and check them out!

The experience at Queen City Chiropractic has been simply amazing. The staff was so attentive to my needs and provided an unbelievable atmosphere that I looked forward to coming every visit. I would get a cramp, spasm, or muscle pain and immediately believe that Dr. Chad or Dr. Ashley literally had “My Back”.

If you're looking for the best chiropractor in the area. You found it at Queen City Chiropractic with Chad and Ashley. Today was only my 2nd visit, but everyone at the office has been amazing. From setting up the appointment, the initial consultation, and therapy. They really treat you like a human being and not another medical claim number. They take the time to get to know you, your daily life and routine and what you need to get you on a path to recovery. 110% patient focused.
I highly RECOMMEND trying the CBD products in addition to therapy. It's been extremely helpful in managing my aches, pains, and discomforts between visits. The tinctures (sublingual drops) have helped with my internal issues like IBS, acid reflux, migraines, etc. and the massage lotion for my deep neck and back aches, and migraines). The staff is happy to go over what will work best fo you if you're interested in giving them a try.

Queen City Chiropractic is the best and most qualified chiropractic service that I have ever used. Dr. Chad is so qualified and he is caring. I felt so safe with the care he gave even the cracking part. He really knows what he is doing. Everyone there is so nice, but especially Christy. She is so sweet. I do not plan to go to any other chiropractor unless they go out of business which I hope does not ever happen. I love them completely and recommend them to anyone having any kind of body or muscle pain.

I don't even know where to start!! My experience with Queen City Chiropractic and Sports Performance was absolutely amazing! They have done more in my healing process than 7 years of injections and pain medication!! I haven't felt this good in 7 years! I suffer from chronic pain in my neck, back, and hips. When I tell you the treatment really works!!! If you suffer from chronic pain give Queen City Chiropractic a call!! You will love the Chad's and Christy. Amazing staff!!

Chad and his team are great! I went in after u injured my back working out and he was able to get me feeling better in no time.
He and his team also were able to help give me advice on to maintain my health through stretches and answering any questions I had.
Forget any negative things you have ever heard about chiropractors and make an appointment for any discomfort you may have!

I had the pleasure of meeting with Dr Ashley and Dr Chad for my first visit today. As a nurse, I suffer with a lot of back and neck pain. I also have chronic migraines. From the moment I came in, both doctors were extremely pleasant and had a welcoming manner. They were personal and both genuinely cared about my needs. They were both honest about how to proceed with my care and what services/ products would benefit me. They were not pushy or “salesy.” I was very impressed and I have already scheduled my next visit because I feel so much better after my treatment today! They are wonderful and I can’t wait to see them again! I highly recommend them if you suffer from back and neck pain! -Lauren Grace Thomas

Dr. Chad and Dr. Ashley are great! I'd been having a recurring mid back pain for 3-4 months, and after the first session felt much better! I decided on going to this clinic due to the amount of great reviews, and they are on point because the treatment is very professional and in my case offered very quick relief from my recurring pain! 100% recommended

I race motocross professionally so after I had a crash, I was looking for a place to help me get back to 100% and feeling good. They have helped me do just that and I feel like it's even helped elevate my focus/intensity. 👍🏽👍🏽

Great experience with Queen City Chiropractic. When I first started going, my shoulders were really tight and painful. After seeing Dr Ashley for the past 5 months, I literally feel like a weight has been lifted off of my shoulders. She has given me stretches and tips to help keep everything where it's supposed to be and she and Dr Chad helped to choose the best pillow for me. Friendly and welcoming environment. Highly recommend Queen City Chiropractic.